上臂内侧筋膜皮瓣的临床应用

目的　探讨上臂内侧由肱动脉肌间隔皮支供血的筋膜皮瓣的临床应用。方法　 1994年以来 ,应用由肱动脉内侧肌间隔皮支供血的上臂内侧筋膜皮瓣修复腋窝、肘关节屈侧瘢痕挛缩和胸前放射性溃疡 18例。其中顺行皮瓣 3例 ,逆行皮瓣 15例 ;皮瓣最大范围为 2 3 cm× 11cm ,最小为 10 cm× 6 cm。结果　术后皮瓣全部成活 ,肘部及腋窝功能、外形良好。结论　上臂内侧筋膜皮瓣薄 ,质地柔软 ,无毛 ,适合修复腋窝及肘关节部位软组织缺损 ,且手术操作简便 ,血供可靠。

CLINICAL APPLICATION OF THE MEDIAL FASCIOCUTANEOUS FLAP OF ARM

OBJECTIVE: To study the clinical application of the medial arm fasciocutaneous flap based on the medial septocutaneous branches of the brachial vessel. METHODS: Since 1994, the medial arm fasciocutaneous flap based on the medial septocutaneous branches of the branchial vessel has been used to cure scar contracture of axillary and elbow joint, radiated ulcer of the chest wall. Eighteen clinical cases were reported. Among them, there were 14 males and 4 females, aged from 6 to 48 years old. The flaps, of which 3 were proximally based and 15 distally based, were designed 23 cm x 11 cm as maximal size and 10 cm x 6 cm as minimal size. RESULTS: All the flaps survived and the excellent function and cosmetic result were achieved. CONCLUSION: The medial arm fasciocutaneous flap is thin, soft and relatively hairless, so it is suitable for repairing the soft tissue defect of the axillary or elbow joint. There are consistently present perforators at both ends that allow one to rotate long flaps around pivoting points immediate to the areas needing coverage. Moreover, this flap is characterized by the simplicity of the surgical techniques and circulatory reliability.